Patients at Washington, D.C. healthcare facilities now have increased access to safe, affordable care with the signing of House Bill 25-0545 by Mayor Muriel Bowser. The law, also known as the Health Occupations Revision General Amendment Act of 2024 (HORA) removes collaboration requirements for all advanced practice registered nurses, including Certified Registered Nurse Anesthetists (CRNAs) and grants CRNAs the authority to work independently in the delivery of anesthesia. 

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